{
  "npi": "1821627795",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2026-09-18",
    "credential": "Au.D.",
    "enumeration_date": "2020-04-03",
    "first_name": "JACOB",
    "last_name": "BUCCINI",
    "last_updated": "2026-09-18",
    "middle_name": "KENNETH",
    "name_prefix": "Dr.",
    "sex": "M",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "18511 HIGHLANDER MEDICS ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "FORT BLISS",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "799065327",
      "state": "TX",
      "telephone_number": "915-742-7777"
    },
    {
      "address_1": "1480 TOWN CREEK RD",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "EDEN",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "272888054",
      "state": "NC",
      "telephone_number": "336-280-5258"
    }
  ],
  "taxonomies": [
    {
      "code": "231H00000X",
      "desc": "Audiologist",
      "license": "14227",
      "primary": true,
      "state": "NC",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Speech, Language and Hearing Service Providers — Audiologist",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "64",
        "medicare_type": "Audiologist"
      }
    ]
  }
}